- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,039.90 / $38,779.10 / $44,051.00
| Facility | | $25,039.90 | $38,779.10 | $44,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,171.01 / $38,104.29 / $53,745.28
| Facility | | $25,171.01 | $38,104.29 | $53,745.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,122.50 / $34,004.72 / $49,916.40
| Facility | | $23,122.50 | $34,004.72 | $49,916.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,703.00 / $31,350.00 / $46,366.00
| Facility | | $19,703.00 | $31,350.00 | $46,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $44,797.46 / $59,621.81
| Facility | | $5,274.00 | $44,797.46 | $59,621.81 |